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Current surgical considerations in gastroesophageal reflux disease in infancy and childhood

S G Jolley1

  • 1Division of General Pediatric Surgery, Humana Children's Hospital-Las Vegas, Nevada.

The Surgical Clinics of North America
|December 1, 1992
PubMed

Insights

Accurate diagnosis and treatment of pediatric gastroesophageal reflux disease (GERD) require understanding esophageal pH monitoring and motility disorders. This knowledge is crucial for tailoring antireflux operations and assessing outcomes in children.

Area of Science:

  • Pediatric Gastroenterology
  • Esophageal Motility Disorders

Background:

  • Gastroesophageal reflux disease (GERD) in infants and children necessitates specialized clinical knowledge.
  • Understanding esophageal pH monitoring and associated motility disorders is essential for accurate diagnosis and management.

Purpose of the Study:

  • To highlight the importance of esophageal pH monitoring and motility assessments in pediatric GERD.
  • To emphasize the need for tailored surgical interventions based on clinical and objective findings.
  • To address the complexities of GERD complications in asymptomatic children.

Main Methods:

  • Review of clinical symptoms and objective test findings for reflux.
  • Assessment of esophageal and gastric motility disorders.
  • Evaluation of 18- to 24-hour esophageal pH monitoring data.

Main Results:

  • Accurate assessment of surgical therapy outcomes for pediatric GERD relies on understanding pH monitoring and motility disorders.
  • Antireflux operations can be customized by integrating clinical data with objective test results.
  • Severe GERD complications in "asymptomatic" children remain a significant, undefined problem.

Conclusions:

  • Clinicians need comprehensive knowledge of esophageal pH monitoring and motility disorders for effective pediatric GERD management.
  • Tailored surgical approaches improve outcomes for children with GERD and associated motility issues.
  • Further research is needed to define and manage severe GERD complications in pediatric populations.

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